Nokea
When interacting with patients and families, of what must the nurse be cognizant?
- A. Her own level of health
- B. The culture of the institution
- C. The need to promote acculturation
- D. Her own cultural orientation
Correct Answer: D
Rationale: Because the nursepatient interaction is the focal point of nursing, nurses should consider their own cultural orientation when conducting assessments of patients and their families and friends. The nurses health is relevant, but secondary. Similarly, the institutional culture is not a priority. Acculturation is not actively promoted by the nurse.
You may also like to solve these questions
How can this goal be best accomplished?
- A. By offering multicultural health studies in nursing curricula
- B. By enhancing the content of community nursing classes
- C. By requiring students to care primarily for patients from other ethnic groups
- D. By screening applicants according to their cultural competence
Correct Answer: A
Rationale: Nursing programs are exploring creative ways to promote cultural competence and humanistic care in nursing students, including offering multicultural health studies in their curricula. Enhancing the content of community nursing classes would not necessarily achieve this goal. Matching students to patients from other cultures is often impractical and applicants are not screened by their cultural competence.
How should the nurse best understand the patients behavior?
- A. The patients sense of humor is culturally mediated and may be unfamiliar to the nurse.
- B. The patient may believe that she has sufficient knowledge and skill to empty the drain.
- C. The patient may be unable to fully comprehend the information the nurse is trying to convey.
- D. Individuals from the patients culture may not normally explain and demonstrate at the same time.
Correct Answer: C
Rationale: Inappropriate laughter can signal a lack of understanding. This is more likely than the presence of a culture-specific sense of humor in this particular context. It is unlikely that there is a prohibition against simultaneous explaining and demonstrating. Laughing is unlikely to suggest that teaching and learning are unnecessary.
Which of the following variables would you prioritize when performing an assessment of the patients cultural beliefs?
- A. Patients previous medical history
- B. Patients marital status
- C. Patients age
- D. Patients communication style
Correct Answer: D
Rationale: Assessment of a patients culture should include the patients country of origin, language (communication style), food preferences or restrictions, health maintenance practices, and religious practices. This aspect of assessment does not explicitly include the patients support systems, marital status, or age, though each of these parameters would be assessed at different points.
What would you include in your assessment? Select all that apply.
- A. Family structure
- B. Subgroups
- C. Cultural beliefs
- D. Health practices
- E. Values
Correct Answer: A,C,D,E
Rationale: Cultural nursing assessment refers to a systematic appraisal or examination of individuals, families, groups, and communities in terms of their cultural beliefs, values, and practices. Subgroups are not a specific focus of this assessment.
The nurse should consider what phenomenon that tends to occur in patients of all ages when they are ill?
- A. Tendency to regress in language skills
- B. Tendency to become more passive
- C. Tendency to become more involved in care
- D. Tendency to regress in age-appropriate behavior
Correct Answer: A
Rationale: During illness, patients of all ages tend to regress, and the regression often involves language skills. The other tendencies do not apply in this case.